Mr Jacob Darrell Johnson, DPT in Lonoke, AR - Medicare Physical Therapist Provider

Mr Jacob Darrell Johnson, DPT is a medicare enrolled "Physical Therapist" provider in Lonoke, Arkansas. His current practice location is 1515 North Center Street, Suite 5, Lonoke, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 676-5540.

Mr Jacob Darrell Johnson is licensed to practice in Arkansas (license number PT 3506) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174873723.

Contact Information

	Mr Jacob Darrell Johnson, DPT
	1515 North Center Street, Suite 5, Lonoke, AR 72086
	(501) 676-5540
	(501) 676-6499

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jacob Darrell Johnson
Gender	Male
Speciality	Physical Therapist
Location	1515 North Center Street, Lonoke, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174873723
Provider Enumeration Date: 09/11/2012
Last Update Date: 09/11/2012

Medicare PECOS Information:

PECOS PAC ID: 7214187657
Enrollment ID: I20121022000260

Medical Identifiers

Medical identifiers for Mr Jacob Darrell Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174873723	NPI	-	NPPES
127083742	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 3506 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jacob Darrell Johnson allows following entities to bill medicare on his behalf.

Provider Name	Next Generation Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1477934552 PECOS PAC ID: 2062715444 Enrollment ID: O20160119000724

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jacob Darrell Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jacob Darrell Johnson, DPT 1515 North Center Street, Suite 5, Lonoke, AR 72086 Ph: (501) 676-5540	Mr Jacob Darrell Johnson, DPT 1515 North Center Street, Suite 5, Lonoke, AR 72086 Ph: (501) 676-5540

Reviews and Comments

Physical Therapist in Lonoke, AR

Emilia C Bussard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499
Elizabeth Hall, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 N Center St, #5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499
Justin Allen Vanlandingham, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 N Center St, Suite 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499
Cody Schaff, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499
Mrs. Devon Morris, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Rice Cir, Lonoke, AR 72086 Phone: 501-676-1684
Caleb S Marsh, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499

Mr Jacob Darrell Johnson, DPT - Medicare Physical Therapist in Lonoke, AR